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EZDoctor Report Summary
Dr. CRISTY L WALLACE FNP
Phone(s):
(817) 332-9966
(817) 332-9977
Specialties:
Nurse Practitioner
TX - 363L00000X
Chiropractor - Nutrition
TX - 111NN1001X
Nutritionist
TX - 133N00000X
NPI:
1588959522
Gender:
FEMALE
License #'s:
********0370
****7203
****
Address(es):
1651 W ROSEDALE ST STE 205
FORT WORTH, TX 76104
EZDOCTOR REPORT
Dr. CRISTY L WALLACE FNP
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